Organization Active NPI

Rosebud Family Consultants

  • Clinical Social Worker
  • Saint Charles, MO
National Provider Identifier
1003080979
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW001311 Issued in MO
Legal business name
ROSEBUD FAMILY CONSULTANTS
Practice address
1360 S 5TH St
Suite 346
Saint Charles, MO 63301-2449
Phone
(636) 724-2922
Fax
(636) 724-2928
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Allen Brautigam, LPC, NCC
Title
Partner
Phone
(636) 724-2922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 2001031938 MO
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SW001311 MO Primary

Addresses

Primary practice location

1360 S 5TH St
Suite 346
Saint Charles, MO 63301-2449

Mailing address

1360 S 5TH St
Suite 346
Saint Charles, MO 63301-2449
Phone (636) 724-2922

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1003080979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S 5TH ST",
            "address_2": "SUITE 346",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012449",
            "telephone_number": "636-724-2922",
            "fax_number": "636-724-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S 5TH ST",
            "address_2": "SUITE 346",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012449",
            "telephone_number": "636-724-2922",
            "fax_number": "636-724-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBUD FAMILY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "BRAUTIGAM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "636-724-2922",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001031938",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW001311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.